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  • 1. Starck, Anton
    et al.
    Al-Obaidi, Marwah
    En jämförelse mellan respiratorisk polygrafi och perifer arteriell tonometri i diagnos av obstruktiv sömnapné2019Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Obstructive sleep apnea (OSA) is the most common chronic sleep disorder. The disease is characterized by recurrent episodes of respiratory arrest during sleep. This is the basis for daytime sleepiness and development of common systemic diseases. There are good treatment options for OSA including CPAP (continuous positive airway pressure), mandibular advancement splints and surgery. Respiratory polygraphy (hereinafter referred to as “polyhraphy”) is the standard method in Sweden for diagnosing OSA. Peripheral arterial tononometry (PAT) is an alternative method. There are different criteria for interpretation of polygraphy, thus making it difficult to compare studies. Svenska sömnapnéregistret (SESAR) and relevant speciality associations have therefore developed a Swedish national diagnostic criterion for sleep apnea, the SESAR-criteria. Purpose: To investigate if PAT and polygraphy (interpreted with the SESAR-criteria), correspond in apnea-hypopnea index (AHI) and oxygen desaturation index (ODI) and if there is any systematic difference between the methods in different positions (supine and non-supine). Material and methods: Eleven patients were registered with polygraphy (NOX-T3) and PAT (WatchPAT) for one night. The registrations were interpreted with the SESAR-criteria and the WatchPAT scoring guidelines, respectively. Results: PAT showed a strong positive correlation with polygraphy (Spearman’s rho=0,771-0,963). Conclusion: No significant difference was found between methods.

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